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2. Retiree Contact Info & Communications Update Form
   The City of West Allis seeks to keep retirees engaged and informed regarding retiree plan benefits, city events and news, and more. To better communicate information to you as a City of West Allis retiree, the Human Resources Department is in the process of updating its contact records for all retirees and requesting your input regarding the various methods in which we communicate with you. Please take a few minutes to provide us your feedback about your preferences and interests.
3. 
5. First Name:*
6. Last Name:*
8. Primary phone:*
9. Cell phone:
11. Address1
13. Address2
15. City
16. State
17. Zip
19. Email:*
21. BESIDES POSTAL MAIL AND PHONE CALLS, please select the communications methods you prefer to stay informed of City of West Allis retiree news and information.
23. Please select no more than 3 options.

    1. Email
    2. Retiree website
    3. Electronic newsletter
    4. Public Facebook page
    5. Private Facebook group
    6. Text/SMS message
    7. Twitter
    8. In person meetings or gatherings
    9. Webinars or online videos
25. Other (please specify)
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field